Brand Name Generic Drugs Licence Manufacturer / Partners Alternative Options
Flutiform pMDI
Fluticasone Propionate / Formoterol
Asthma
Kyorin MundiPharma No alternatives in same drug combination. Alternatives in pMDI include beclometasone / formoterol (Fostair®, Luforbec®) Fluticasone Propionate / salmeterol (AirFluSal®, Aloflute®, Combisal®, Sereflo®, Seretide®, Sirdupla®) - NB. Not all brands available in low, medium and high dose ICS. Budesonide / formoterol (Symbicort®). NB. Only available in two strengths (low and medium dose), and with HFA 227 propellant with a very high carbon impact.
Flutiform K-haler
Fluticasone Propionate / Formoterol
Asthma
MundiPharma
Flutiform K-haler discontinued in UK April 2021. No ICS/LABA available in breath-actuated pMDI devices. For alternatives in pMDI, see Flutiform pMDI, above.
Ultibro Breezhaler
Indacaterol / glycopyrronium
COPD
Novartis
DPI alternative: Duaklir Genuair (formoterol / aclidinium) Aerosol alternativies: Bevespi Aerosphere pMDI (formoterol / glycopyrronium) Spiolto Respimat (olodaterol / tiotropium)
Seebri Breezhaler
Glycopyrronium
COPD
Novartis
DPI alternative: Eklira Genuair (aclidinium) Tiotropium (Spiriva® HandiHaler, Braltus® Zonda, Tiogiva® MRX003-R inhaler, Acopair® NeumoHaler) Aerosol alternative: Spiriva Respimat (tiotropium)
Enerzair Breezhaler
Mometasone / Indacaterol / glycopyrronium
Asthma
Novartis
There are no alternative ICS/LABA/LAMA DPI inhalers licensed for use in asthma. DPI alternatives would require use of a suitable ICS/LABA DPI in combination with Spirva Respimat (the only licensed LAMA for asthma. Aerosol alternative: Trimbow MDI (budesonide / formoterol / glycopyrronium). NB. Trimbow is licensed in asthma as a medium dose ICS, whilst Enerzair is a high dose ICS, so a switch would represent an ICS dose reduction.
AirFluSal Forspiro
Fluticasone Propionate / Salmeterol
Asthma, COPD
Sandoz
Alternative DPIs include: Fluticasone Propionate / Salmeterol DPIs: Seretide® Accuhaler, Fixkoh® Airmaster, Fusacomb® Easyhaler, Stalpex® G7 inhaler Alternative DPIs for other ICS/LABA drugs include: Budesonide / formoterol: DuoResp® Spiromax, Fobumix® Easyhaler, Symbicort® Turbohaler Beclometasone / formoterol: (Fostair® NEXThaler)
AirBuFo Forspiro
Budesonide / formoterol
Asthma, COPD
Sandoz
Not licensed in the UK. Alternative DPIs include: Budesonide / formoterol: DuoResp® Spiromax, Fobumix® Easyhaler, Symbicort® Turbohaler Alternative DPIs for other ICS/LABA drugs include: Beclometasone / formoterol: (Fostair® NEXThaler) Fluticasone Propionate / Salmeterol DPIs: Seretide® Accuhaler, Fixkoh® Airmaster, Fusacomb® Easyhaler, Stalpex® G7 inhaler
Fluticasone Propionate and Salmeterol*
Fluticasone Propionate / Salmeterol
Asthma, COPD
Hikma
Not licensed in the UK. Alternative DPIs include: Fluticasone Propionate / Salmeterol DPIs: Seretide® Accuhaler, Fixkoh® Airmaster, Fusacomb® Easyhaler, Stalpex® G7 inhaler
Breelib† Nebuliser for adminstration of Ventavis (iloprost), or generic Iloprost Zentiva Pulmonary Hypertension Bayer No other licensed iloprost nebuliser solution preparations available
Incruse Ellipta
Umeclidinium
COPD
GSK
DPI alternative: Eklira Genuair (aclidinium) Tiotropium (Spiriva® HandiHaler, Braltus® Zonda, Tiogiva® MRX003-R inhaler, Acopair® NeumoHaler) Aerosol alternative: Spiriva Respimat (tiotropium)
Anoro Ellipta
Vilanterol / Umeclidinium
COPD
GSK
DPI alternative: Duaklir Genuair (formoterol / aclidinium) Aerosol alternatives: Bevespi Aerosphere pMDI (formoterol / glycopyrronium) Spiolto Respimat (olodaterol / tiotropium)
Relvar/Breo Ellipta
Fluticasone furoate / vilanterol
Asthma, COPD
GSK
No alternatives in same drug combination. DPI alternatives: Fluticasone Propionate / Salmeterol DPIs: Seretide® Accuhaler, Fixkoh® Airmaster, Fusacomb® Easyhaler, Stalpex® G7 inhaler Budesonide / formoterol: DuoResp® Spiromax, Fobumix® Easyhaler, Symbicort® Turbohaler Beclometasone / formoterol: (Fostair® NEXThaler)
Trelegy Ellipta
Fluticasone furoate / vilanterol / glycopyrronium
COPD
GSK
DPI alternative: Trimbow NEXThaler (budesonide / formoterol / glycopyrronium). Available from September 2021. Aerosol alternativies: Trimbow MDI (budesonide / formoterol / glycopyrronium).